I have also read the previous comments and agree with their conclusions.  If indeed this goes through as written I would like to know how to address the patient who is already taking high dose Opioids and concomitent Benzodiazapines prescribes by their physician.  Even if I do not prescribe additional Opioids am I now responsible for prescribing the Naloxone?  Does the Board of Medicine require this as well or just the BOD.  Due to the costs of the nasal spray Naloxone I feel many patients will forgo filling the prescription.  May be we should just review the History and concerns with the patient and family then asked them if they would like the Naloxone RX.  It sounds more like a feel good rule and more thought needs to be done before implimenting it.